NPI | 1396900189 |
---|---|
Former Name | COURTNEY B HUMPHREYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN182407) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 13595) |
163W00000X Registered Nurse (Licence: TN 129258) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2025-10-09 |