NPI | 1578062444 |
---|---|
Former Name | JORDAN ALEXANDRA TIMOTHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0000957-C-CRNA) |
Enumeration Date | 2018-02-06 |
Last Update Date | 2024-12-11 |