NPI | 1386809150 |
---|---|
Former Name | DARLENE MAY HALLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9332014) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN99591) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN13589) | |
Enumeration Date | 2008-07-22 |
Last Update Date | 2016-11-11 |