NPI | 1982695607 |
---|---|
Former Name | KRIS MARIED BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2005-11-02 |
Last Update Date | 2022-11-18 |