NPI | 1053759084 |
---|---|
Former Name | LATASHA MARIE HEAPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM 61083) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 067601-23) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2024-02-15 |