| NPI | 1477838746 |
|---|---|
| Former Name | KRISTINA M RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.14084-NA) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 123456) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2017-05-30 |