NPI | 1992061352 |
---|---|
Former Name | BRITTANY NICOLE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 0104049) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2017-04-05 |