| NPI | 1164723615 |
|---|---|
| Former Name | LACRISTA JOI FUQUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 587733) |
| 163W00000X Registered Nurse (Licence: CA 708406) | |
| Enumeration Date | 2010-11-14 |
| Last Update Date | 2021-12-21 |