NPI | 1043967235 |
---|---|
Former Name | COURTNEY L SHUFFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 220769) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR R092917) |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-06-20 |