NPI | 1861768137 |
---|---|
Former Name | LINDSEY MARIE JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557081) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 101477) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2014-01-20 |