NPI | 1245778570 |
---|---|
Former Name | CASEY SUZANNE OVERCASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174535) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001250408) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2017-10-17 |