NPI | 1285052324 |
---|---|
Former Name | JESSICA BLAIR HARDEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 104655) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 224005) |
Enumeration Date | 2014-04-05 |
Last Update Date | 2015-03-03 |