| NPI | 1104043082 |
|---|---|
| Former Name | IVY D LEVERETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN12405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN118124) |
| 163W00000X Registered Nurse (Licence: VA 0024168102) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168102) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-12-15 |