NPI | 1255582730 |
---|---|
Former Name | GISELLE BUSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP05519) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN105186) |
Enumeration Date | 2008-10-02 |
Last Update Date | 2018-02-20 |