NPI | 1356938856 |
---|---|
Former Name | TAYLOR MARIE LEEUW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1026875) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 131054) |
Enumeration Date | 2020-12-30 |
Last Update Date | 2023-10-25 |