| NPI | 1548620636 |
|---|---|
| Former Name | KATELYN MARIE WYNNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209013473) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2018-03-08 |