NPI | 1801204383 |
---|---|
Former Name | TONNICHAKA GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 198674) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18962) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2024-02-04 |