NPI | 1649323163 |
---|---|
Former Name | JULIE RAEDEAN TOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114915) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 075460) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-09-24 |