NPI | 1114581626 |
---|---|
Former Name | CHELSEA FOREE STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1128982) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1128982) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2020-09-17 |