NPI | 1801278221 |
---|---|
Former Name | MARY CHANDLER OVERSTREET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20242) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000183471) |
Enumeration Date | 2015-06-22 |
Last Update Date | 2022-09-21 |