NPI | 1003042250 |
---|---|
Former Name | HEIDI LYNN MCDANIEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 556902) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1381027082) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KS 139566) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-02 |
Last Update Date | 2024-02-01 |