NPI | 1417333543 |
---|---|
Former Name | DANIELLE R DAVIDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557355122) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2015025646) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2023-05-17 |