NPI | 1194148965 |
---|---|
Former Name | CAITLIN ANN BIRCKHEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008443) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1126604) |
Enumeration Date | 2014-01-29 |
Last Update Date | 2014-11-04 |