NPI | 1861447344 |
---|---|
Former Name | OLA MARIE JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN106701) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024131618) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2011-06-23 |