NPI | 1275543985 |
---|---|
Former Name | BARBARA JEAN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 74290) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 634674) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2015-08-14 |