NPI | 1598197873 |
---|---|
Former Name | LOREN CHASTAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18333) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 160245) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 101131) | |
Enumeration Date | 2013-08-08 |
Last Update Date | 2019-04-26 |