| NPI | 1770903270 |
|---|---|
| Former Name | KOTA HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 6841491) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00887400) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-03-31 |