NPI | 1629513072 |
---|---|
Former Name | KRISTEN OLTERSDORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704279005) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2020-01-29 |