NPI | 1013323203 |
---|---|
Former Name | MARLEE MCKENZIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 276152) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 205465) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2015-03-27 |