NPI | 1528401429 |
---|---|
Former Name | AMANDA LEE STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123605) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 835374) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2022-02-08 |