NPI | 1750315057 |
---|---|
Former Name | DIANE K BLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP113336) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 726301) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2021-01-14 |