| NPI | 1952654956 |
|---|---|
| Former Name | KATELYN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN270703) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN270703) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2016-07-19 |