NPI | 1588196364 |
---|---|
Former Name | CHELSIE ANN MEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704285823) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704285823) |
Enumeration Date | 2017-03-30 |
Last Update Date | 2022-11-11 |