NPI | 1346383478 |
---|---|
Former Name | BRANDI JEFFERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168606) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN552859) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2017-03-08 |