NPI | 1528483815 |
---|---|
Former Name | KATIE L BRUENING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101241) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 63316) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2022-07-13 |