NPI | 1093349599 |
---|---|
Former Name | COURTNEY LYNN EGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 9999999) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 16666151) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2022-07-18 |