NPI | 1114345220 |
---|---|
Former Name | JESSIE LYNN BAFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 104645) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 257069) |
Enumeration Date | 2014-04-04 |
Last Update Date | 2015-12-02 |