NPI | 1386184307 |
---|---|
Former Name | SHANNON CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014992) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209015641) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2020-10-06 |