NPI | 1629200977 |
---|---|
Former Name | JESSICA LEIGH CUSHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0994501-CRNA) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: DC RN1017114) |
Enumeration Date | 2009-08-20 |
Last Update Date | 2019-09-16 |