NPI | 1225657786 |
---|---|
Former Name | SHERRY ANN EDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 33913) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0033913) |
Enumeration Date | 2020-04-14 |
Last Update Date | 2020-04-14 |