NPI | 1356853352 |
---|---|
Former Name | COURTNEY RENAE EARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11022257) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 0000024181) |
163W00000X Registered Nurse (Licence: TN 169138) | |
Enumeration Date | 2017-10-30 |
Last Update Date | 2024-12-18 |