NPI | 1245776285 |
---|---|
Former Name | CHRISTINE JOANN BOOHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134178) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 769637) |
Enumeration Date | 2017-01-15 |
Last Update Date | 2018-07-23 |