NPI | 1639239940 |
---|---|
Former Name | PAMELA LYNN HOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN41586) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009695) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2015-10-07 |