NPI | 1376212852 |
---|---|
Former Name | TARA GABRIELE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 31092) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1644812) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2022-03-29 |