NPI | 1174811723 |
---|---|
Former Name | ELIZABETH FREEMAN DUCKRO CLARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 12699-NA) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2022-07-12 |