NPI | 1699867127 |
---|---|
Former Name | TAMMY ANNA CLARKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166030) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2022-03-09 |