NPI | 1184600769 |
---|---|
Former Name | MICHELLE JANE JARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60086711) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60090664) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 690107) | |
Enumeration Date | 2005-12-16 |
Last Update Date | 2019-02-25 |