NPI | 1740448968 |
---|---|
Former Name | AMANDA HOLLOWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 13-89458-122) |
Enumeration Date | 2008-05-23 |
Last Update Date | 2013-02-05 |