NPI | 1073935987 |
---|---|
Former Name | SUSAN MICHELLE BURLESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 100041) |
Enumeration Date | 2014-01-11 |
Last Update Date | 2015-08-10 |