NPI | 1386813293 |
---|---|
Former Name | MARLA M. JORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-272565) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 8927) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2024-05-20 |