NPI | 1023488616 |
---|---|
Former Name | VANESSA DEROSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA153023) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 086174-23) |
Enumeration Date | 2015-09-25 |
Last Update Date | 2022-12-14 |