NPI | 1467710624 |
---|---|
Former Name | CHRYSTAL L TYLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95000699) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 080952) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CT 5018) | |
367H00000X Anesthesiologist Assistant | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2018-03-17 |