NPI | 1477735876 |
---|---|
Former Name | KRISTINE JOY WIERSMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704261997) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2014-07-03 |