NPI | 1497918163 |
---|---|
Former Name | TARA LYNN WOMBOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9182816) |
Enumeration Date | 2008-07-03 |
Last Update Date | 2010-07-01 |