NPI | 1396014049 |
---|---|
Former Name | MEGAN R GRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA13118NA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN300449) |
163W00000X Registered Nurse (Licence: PA RN605113) | |
Enumeration Date | 2011-12-27 |
Last Update Date | 2015-12-22 |