NPI | 1104882844 |
---|---|
Former Name | TAMARA MARKOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19381) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 053088) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024164951) | |
Enumeration Date | 2006-04-21 |
Last Update Date | 2015-07-17 |