NPI | 1093045221 |
---|---|
Former Name | TINA LYNN HENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP118622) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 083154) |
Enumeration Date | 2010-01-11 |
Last Update Date | 2020-04-27 |