NPI | 1386001345 |
---|---|
Former Name | LEAH WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0124948) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 059143-21) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 026.0055715) | |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-11-09 |