NPI | 1134166523 |
---|---|
Former Name | LAVILIA MOREAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1906072) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: HI APRN901) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2009-05-12 |