NPI | 1184823197 |
---|---|
Former Name | TONYA S MADDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55616) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1496381101) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2012-09-06 |