| NPI | 1275922767 |
|---|---|
| Former Name | MATTIE MCCLINTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127307) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 776975) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-02-26 |