NPI | 1124564125 |
---|---|
Former Name | KERIANNE RUTH WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 144928) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ TCRNA1377) |
Enumeration Date | 2017-01-13 |
Last Update Date | 2021-02-17 |