NPI | 1659720126 |
---|---|
Former Name | KRYSTINA KINGHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R041095) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000535) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2018-08-08 |