NPI | 1235642471 |
---|---|
Former Name | NICOLE LYNN VANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0993683) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN160526) |
Enumeration Date | 2017-11-09 |
Last Update Date | 2018-03-01 |