NPI | 1720059678 |
---|---|
Former Name | TERESA C MCCARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 1051611) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1051611) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2007-07-08 |