NPI | 1407884091 |
---|---|
Former Name | YUSHONDA DEANNA PICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 873248) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2010-06-28 |