NPI | 1083949499 |
---|---|
Former Name | DEBRA SLOBOTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 633563) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 262726) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MA 262726) | |
Enumeration Date | 2009-10-03 |
Last Update Date | 2010-09-14 |