NPI | 1437859352 |
---|---|
Former Name | KHADIJAH LYONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1128697) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9477447) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RN9477447) | |
Enumeration Date | 2023-03-08 |
Last Update Date | 2023-08-09 |