NPI | 1396179180 |
---|---|
Former Name | RENEE LEE BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557196-021) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2013030177) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-09-19 |