NPI | 1265000814 |
---|---|
Former Name | HANNAH CRANDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2021026631) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2016036393) |
Enumeration Date | 2021-06-10 |
Last Update Date | 2024-04-02 |