| NPI | 1801857735 |
|---|---|
| Other Name | KATHLEEN MARY FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 180779-1) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2024-10-13 |