| NPI | 1336103498 |
|---|---|
| Former Name | JANET MARIE ETCHISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 042216) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN571928) |
| 163W00000X Registered Nurse (Licence: NC 108080) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-10-04 |