NPI | 1699741595 |
---|---|
Former Name | SALLY ANN VEGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN11183) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN60849) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN84232) | |
Enumeration Date | 2006-02-28 |
Last Update Date | 2013-04-15 |