| NPI | 1760052864 |
|---|---|
| Former Name | KATELYN ROSE MOORHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28231042A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9500212) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-01-28 |