| NPI | 1588071070 |
|---|---|
| Former Name | KYLIE RENEE ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24086) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN589487) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2022-01-13 |