NPI | 1689072472 |
---|---|
Former Name | KRISTA E PAPOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6187-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704291323) |
Enumeration Date | 2014-12-11 |
Last Update Date | 2015-01-16 |