NPI | 1891068623 |
---|---|
Former Name | GRACE T FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 16508) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R074041) |
Enumeration Date | 2012-02-09 |
Last Update Date | 2023-11-14 |