NPI | 1902873417 |
---|---|
Former Name | REBECCA LYNNE CLIFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201260032CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704143413) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2021-10-25 |