| NPI | 1265435556 |
|---|---|
| Former Name | TINA NANNETTE CALDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 54626) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2024-04-17 |