NPI | 1194306563 |
---|---|
Former Name | ASHLEY JILLANE SMALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.023391) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041482878) |
Enumeration Date | 2021-04-17 |
Last Update Date | 2022-09-01 |