| NPI | 1558379156 |
|---|---|
| Former Name | TINA MARIE MEJIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201508486CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201508460RN) |
| 163W00000X Registered Nurse (Licence: CO RN. 0103612) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0004560CRNA) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2017-12-01 |