NPI | 1982650784 |
---|---|
Former Name | BRENDA SUE MCCRARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP130836) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 083335) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KS 14-61682-011) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2017-02-13 |