NPI | 1649629767 |
---|---|
Former Name | JACQUELYN CREIGHTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN343667) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2017-02-27 |