NPI | 1659010502 |
---|---|
Former Name | ALISHA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 558039) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 97206) |
Enumeration Date | 2022-05-31 |
Last Update Date | 2022-10-28 |