NPI | 1144534652 |
---|---|
Former Name | JESSICA MICHELLE SHEARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 2755) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 202152) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171628) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2023-07-28 |