| NPI | 1629361639 |
|---|---|
| Former Name | KATIE GAYLE SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN592667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN592667) |
| 163W00000X Registered Nurse (Licence: WI 174761-30) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R162842) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2021-01-19 |