NPI | 1073071908 |
---|---|
Former Name | EMILEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 254087) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 254087) |
Enumeration Date | 2019-03-11 |
Last Update Date | 2021-08-10 |