NPI | 1013212620 |
---|---|
Former Name | JORDAN HEBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07539) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9316443) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2014-10-29 |