| NPI | 1609119650 |
|---|---|
| Former Name | MISTY DAWN HAMRIC |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 90758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 63000) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-07-22 |