NPI | 1619262805 |
---|---|
Former Name | AMY BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557045) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 1383350062) |
163W00000X Registered Nurse (Licence: KS 1383350062) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2012-01-18 |