NPI | 1639689433 |
---|---|
Former Name | KRISTEN COLBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 21865) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 205066) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC002142) | |
Enumeration Date | 2017-10-05 |
Last Update Date | 2022-03-14 |