NPI | 1396989372 |
---|---|
Former Name | TERRICA MARIE PREAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 14610) |
Enumeration Date | 2009-04-22 |
Last Update Date | 2014-05-28 |