| NPI | 1013947175 |
|---|---|
| Former Name | MARY ARMINTA KIDD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024068677) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001068677) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-05-02 |