NPI | 1841672409 |
---|---|
Former Name | ELLEN RACHEL SANDIDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20658) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN RN0000149664) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA000992) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN RN0000149664) | |
163WN0800X Registered Nurse, Neuroscience (Licence: TN RN0000149664) | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2023-12-14 |