| NPI | 1275565517 |
|---|---|
| Former Name | KARIN DEANN BULLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP109357) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9247783) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041339455) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9247783) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-05-25 |