NPI | 1467996041 |
---|---|
Former Name | MALLORY ANN ADAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D156468) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 112617) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2019-12-12 |