| NPI | 1790229292 |
|---|---|
| Former Name | AMY LEEANN BAYLESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22154) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 160059) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2018-08-14 |