NPI | 1225206519 |
---|---|
Former Name | GENNIE L FARRAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174010) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-061334) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN15760) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN181133) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 280661) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20621) | |
Enumeration Date | 2008-02-20 |
Last Update Date | 2020-02-07 |