NPI | 1306269519 |
---|---|
Former Name | ELIZABETH GRACE TERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125074) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 125074) |
Enumeration Date | 2014-01-23 |
Last Update Date | 2023-01-20 |