NPI | 1063078475 |
---|---|
Former Name | LOREE MARTIN COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177716) |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-07-08 |