NPI | 1861720823 |
---|---|
Former Name | TARA SHREWSBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV APRN66719-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 082506) |
Enumeration Date | 2009-12-02 |
Last Update Date | 2020-12-29 |