NPI | 1104108216 |
---|---|
Former Name | ADRIENE MARIE FREITAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 087853) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 141873) |
Enumeration Date | 2011-09-14 |
Last Update Date | 2015-06-19 |