NPI | 1659779916 |
---|---|
Former Name | BROOKE BARNHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19312) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 199204) |
Enumeration Date | 2014-12-18 |
Last Update Date | 2022-10-06 |