| NPI | 1518134659 |
|---|---|
| Former Name | BRANDON SHEA ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00727) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 13448) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-04-24 |