NPI | 1447600184 |
---|---|
Former Name | ERICA MICHELLE HUMPHREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9366265) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 110372) |
Enumeration Date | 2016-06-14 |
Last Update Date | 2016-07-26 |