NPI | 1013246883 |
---|---|
Former Name | CHARLENE DELATORRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.11310-NA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.332067COA1) |
Enumeration Date | 2009-12-08 |
Last Update Date | 2017-06-06 |