NPI | 1588652440 |
---|---|
Former Name | TRACY L HOCKING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005309) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041269645) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2020-12-21 |