| NPI | 1124286877 |
|---|---|
| Former Name | ANGELA M BASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR CO2708) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R73939) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR CTP000068) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2009-05-18 |