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 |