| NPI | 1972618098 |
|---|---|
| Former Name | KISHA N LIFGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 505994 1) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 074874-23) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2019-09-06 |