NPI | 1609148048 |
---|---|
Former Name | ANNIE KATHERINE MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-144155) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN16377) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN185301) | |
Enumeration Date | 2012-02-01 |
Last Update Date | 2017-04-13 |