NPI | 1831353010 |
---|---|
Former Name | ANGELA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55660) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012041043) |
Enumeration Date | 2008-07-16 |
Last Update Date | 2020-11-30 |