NPI | 1477536639 |
---|---|
Former Name | TRACY LYNETTE KIPLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: NV 83618) |
Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: NV 064324) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2007-07-08 |