NPI | 1487857629 |
---|---|
Former Name | FAITH E. BLOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00690) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10029071) |
363L00000X Nurse Practitioner (Licence: DE LJ0000238) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2016-04-25 |