NPI | 1710212170 |
---|---|
Former Name | MARY ELIZABETH GOMEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN154084) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2011-09-14 |