| NPI | 1407127368 |
|---|---|
| Former Name | COURTNEY WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9356351) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-109025) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-10-05 |