NPI | 1194061762 |
---|---|
Former Name | LISA ANN DANIEL/HOUSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 705585) |
Enumeration Date | 2012-12-29 |
Last Update Date | 2017-12-14 |