NPI | 1023338076 |
---|---|
Former Name | CHERYL S CRADDOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN2564742) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ANT2564742) |
Enumeration Date | 2010-06-01 |
Last Update Date | 2023-06-22 |