NPI | 1902577323 |
---|---|
Former Name | EMILY CLOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10030180) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201504373RN) |
Enumeration Date | 2021-09-24 |
Last Update Date | 2024-09-17 |