| 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 |