NPI | 1073627980 |
---|---|
Former Name | PATRICIA ANN SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1717682) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2017-04-25 |