NPI | 1194810168 |
---|---|
Former Name | DEBRA J RADABAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R116337-3) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2010-10-04 |