NPI | 1023010477 |
---|---|
Former Name | LAURA KAY COMSTOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 721570) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9213966) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2015-10-29 |