NPI | 1114653979 |
---|---|
Former Name | BROOKLYN ABBIGALE HUTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 294444) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK R0125936) |
Enumeration Date | 2022-07-25 |
Last Update Date | 2023-10-05 |