NPI | 1720859267 |
---|---|
Former Name | KELSEY MARIE CLAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95002550) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95139914) |
Enumeration Date | 2024-01-12 |
Last Update Date | 2025-02-05 |