NPI | 1679546238 |
---|---|
Former Name | MELINDA W. MOFFETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3273322) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-007514) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2012-07-19 |