NPI | 1114267960 |
---|---|
Former Name | SUSYN M. MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2007003744) |
Enumeration Date | 2013-02-14 |
Last Update Date | 2017-06-22 |