NPI | 1275595878 |
---|---|
Former Name | SUSAN GAIL MOXLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024126169) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2007-07-08 |