NPI | 1679754741 |
---|---|
Former Name | BRITTANY CAROLINE OTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 12967) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1102873) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006741) | |
Enumeration Date | 2007-11-17 |
Last Update Date | 2020-10-21 |