NPI | 1598335176 |
---|---|
Former Name | MONICA GRACE WHISENANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-156194) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 1-156194) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2023-07-17 |