NPI | 1124415096 |
---|---|
Former Name | CHERYL LYNN HOUGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704225366) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704225366) |
Enumeration Date | 2015-04-18 |
Last Update Date | 2016-08-24 |