NPI | 1043735657 |
---|---|
Former Name | MARY ELIZABETH OSBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9400752) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA GAA-CRNA001343) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2025-08-22 |