NPI | 1972245900 |
---|---|
Former Name | KATIE JEAN GROVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 3036) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2208994) |
Enumeration Date | 2022-04-11 |
Last Update Date | 2025-07-17 |