NPI | 1609495993 |
---|---|
Former Name | ERICA C O'DELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61279093) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 173075) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27719) | |
Enumeration Date | 2020-04-16 |
Last Update Date | 2025-07-02 |