NPI | 1629527056 |
---|---|
Former Name | ELIZABETH KATELYN MAULDIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN759995) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA163038) |
Enumeration Date | 2016-09-27 |
Last Update Date | 2022-08-15 |