NPI | 1003205139 |
---|---|
Former Name | CASSONDRA NICHOLE HORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19489) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175655) |
Enumeration Date | 2015-01-13 |
Last Update Date | 2019-07-29 |