NPI | 1366688277 |
---|---|
Former Name | TIA ELLEN THARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR CTP-000090) |
Enumeration Date | 2008-12-23 |
Last Update Date | 2010-02-09 |