NPI | 1962210955 |
---|---|
Former Name | MONAE ALISIA MCBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-152563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-152563) |
Enumeration Date | 2024-12-21 |
Last Update Date | 2025-06-11 |