NPI | 1821228743 |
---|---|
Former Name | CHARLENE GARDNER TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 556929) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1382074072) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KS 140196) | |
Enumeration Date | 2009-07-27 |
Last Update Date | 2024-02-14 |