NPI | 1548558190 |
---|---|
Former Name | SHELBY D BRUEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557044) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1396203061) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2025-01-22 |