NPI | 1043469398 |
---|---|
Former Name | COLLEEN T MCGOVERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR10764400) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2008-09-11 |