NPI | 1104181742 |
---|---|
Former Name | TRISHA BALDREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19094) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3242072) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2022-07-18 |