| NPI | 1649207382 |
|---|---|
| Former Name | KAREN HAGSTROM GENNOSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 082635) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-11-04 |