NPI | 1104052117 |
---|---|
Former Name | JACQUELYN M CONROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN537357) |
Enumeration Date | 2009-06-04 |
Last Update Date | 2012-01-05 |