NPI | 1679262992 |
---|---|
Former Name | LAUREN TAYLOR MCKULLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27503) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 231225) |
Enumeration Date | 2023-05-03 |
Last Update Date | 2024-10-15 |