NPI | 1265904718 |
---|---|
Former Name | BREANN HIGGINBOTTOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 124772) |
Enumeration Date | 2018-12-21 |
Last Update Date | 2021-08-23 |