| NPI | 1134226269 |
|---|---|
| Former Name | TINA MARIE NOLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3027672) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-04-11 |