NPI | 1649647025 |
---|---|
Former Name | KRISTINA BRUMBELOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AK 146817) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN219302) |
Enumeration Date | 2015-09-01 |
Last Update Date | 2020-05-12 |