NPI | 1457713992 |
---|---|
Former Name | PAIGE BARTHOLOMEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP131179) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 804987) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 109551) | |
Enumeration Date | 2016-03-23 |
Last Update Date | 2021-09-24 |