NPI | 1336608025 |
---|---|
Former Name | BAILEY HUDDLESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29602) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.018896) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209018896) | |
Enumeration Date | 2019-03-13 |
Last Update Date | 2022-03-22 |