NPI | 1063979409 |
---|---|
Former Name | RICHELLE EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 275742) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN175919) |
Enumeration Date | 2019-02-21 |
Last Update Date | 2022-06-09 |