NPI | 1376716282 |
---|---|
Former Name | JILL RENEE CAREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55659) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 13-87709-012) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2023-11-17 |