NPI | 1861201865 |
---|---|
Former Name | JESSIE LOUISE ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1186482) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 952630) |
Enumeration Date | 2025-01-03 |
Last Update Date | 2025-03-19 |