NPI | 1932130226 |
---|---|
Former Name | TAMA D FULTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60311608) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-066746) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2698912) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2017-01-05 |