NPI | 1770172355 |
---|---|
Former Name | SARA LYNN TOBIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1032639) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 131076) |
Enumeration Date | 2021-01-18 |
Last Update Date | 2024-02-07 |