NPI | 1124079785 |
---|---|
Former Name | MARILYN SUE PUMPHREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA636) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2023-10-02 |