NPI | 1467475889 |
---|---|
Former Name | JUDY LEE MEADOWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 2005) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024164987) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-10-08 |