NPI | 1770012379 |
---|---|
Former Name | EVELYN DENISE DARRISAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9332088) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL rn9332088) |
363L00000X Nurse Practitioner (Licence: FL arnp9332088) | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2025-02-19 |