NPI | 1790478006 |
---|---|
Former Name | CASSIE ROSE MCFADDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023019810) |
Enumeration Date | 2023-06-01 |
Last Update Date | 2023-06-01 |