| NPI | 1699358184 |
|---|---|
| Former Name | KAITLIN COLLEEN GAMSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-025015) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021019486) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-12-21 |