NPI | 1639463904 |
---|---|
Former Name | PATRICIA KEETON CROWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 209923) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 209923) |
Enumeration Date | 2011-06-04 |
Last Update Date | 2011-11-02 |