NPI | 1902574791 |
---|---|
Former Name | BETHANY TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 1000172) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1671979) |
Enumeration Date | 2021-09-06 |
Last Update Date | 2024-11-04 |