NPI | 1326090531 |
---|---|
Former Name | CYNTHIA ANN PRUETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1055087) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2010-11-04 |