NPI | 1306277611 |
---|---|
Former Name | JACQUELINE KINCADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9430464) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171430) |
Enumeration Date | 2013-12-12 |
Last Update Date | 2018-12-04 |