NPI | 1881010510 |
---|---|
Former Name | BERKLEY KOESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28535) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2312583) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171509) | |
Enumeration Date | 2014-03-05 |
Last Update Date | 2021-01-07 |