NPI | 1386067932 |
---|---|
Former Name | RENEE MARIE TABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9295301) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 267765) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103161) | |
Enumeration Date | 2014-01-31 |
Last Update Date | 2019-03-28 |