NPI | 1336193168 |
---|---|
Former Name | MICHELLE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV CRNA000333) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 696020) |
163W00000X Registered Nurse (Licence: NV RN21576) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2011-01-30 |