NPI | 1093942575 |
---|---|
Former Name | TIFFANEY SHEA CRANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 556904) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 139538) |
163W00000X Registered Nurse (Licence: KS 1499722072) | |
163W00000X Registered Nurse (Licence: TX 707588) | |
Enumeration Date | 2009-06-11 |
Last Update Date | 2010-03-25 |