NPI | 1396938833 |
---|---|
Former Name | TRACY J WHITTAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 2580) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 418906) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2007-08-17 |