NPI | 1194179473 |
---|---|
Former Name | PAIGE VICTORIA RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5435) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 246338) |
Enumeration Date | 2016-04-22 |
Last Update Date | 2021-05-07 |