NPI | 1336447234 |
---|---|
Former Name | CRYSTAL D BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 703034) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120049) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2023-05-31 |