NPI | 1619488962 |
---|---|
Former Name | HOLLY JOY GREGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00793) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R207020) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2020-04-26 |