NPI | 1316581713 |
---|---|
Former Name | JACQUELINE CANDACE MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 106050) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R199149) |
Enumeration Date | 2019-10-30 |
Last Update Date | 2020-05-14 |