NPI | 1417577420 |
---|---|
Former Name | CASSANDRA MAUREEN WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 125971) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R099882) |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-06-29 |