NPI | 1568146322 |
---|---|
Former Name | STEVI LEE DUNLAP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-558100-042) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS TMP-161747) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023021000) | |
Enumeration Date | 2023-06-12 |
Last Update Date | 2024-04-11 |