NPI | 1336470160 |
---|---|
Former Name | CHRISTINE JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 195049) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN00854) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2017-02-21 |