NPI | 1588796536 |
---|---|
Former Name | MELINDA LOU MARBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 239823) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 239823) |
163WX0800X Registered Nurse, Orthopedic (Licence: TX 239823) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-09 |