NPI | 1699256743 |
---|---|
Former Name | KARISSA ANN OLDHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001010) |
Enumeration Date | 2018-08-27 |
Last Update Date | 2023-11-27 |