| NPI | 1093256240 |
|---|---|
| Former Name | NICOLE RAE BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134264) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 921255) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2022-10-25 |