NPI | 1013045608 |
---|---|
Former Name | DIA M TITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 118840) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041262659) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2016-01-26 |