NPI | 1114949146 |
---|---|
Former Name | TEIGENG SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 142094) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 142094) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-10-08 |