NPI | 1952707812 |
---|---|
Former Name | EMILY RUTH WADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19217) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 103623) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2016-02-04 |