| NPI | 1679354104 |
|---|---|
| Former Name | KALA RAE ANN INGWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 17098-33) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-09-19 |