| NPI | 1336126044 |
|---|---|
| Former Name | CHRISTINE HEADLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX CRNA47547) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX RN573974) |
| 363L00000X Nurse Practitioner (Licence: TX AP113130) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 573974) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-10-15 |