NPI | 1821342205 |
---|---|
Former Name | SHIVAWN ROSE BILBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 749921) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2014-05-21 |