NPI | 1598762163 |
---|---|
Former Name | KATHY ANN GOODWIN AND MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA - 01058) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0073935) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2010-02-23 |