NPI | 1962524652 |
---|---|
Former Name | MELINDA DAWN GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2001017791) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2014-04-24 |