NPI | 1023265287 |
---|---|
Former Name | COURTNEY DORIS DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN106460) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 079657) |
Enumeration Date | 2008-08-19 |
Last Update Date | 2010-09-23 |