NPI | 1306074265 |
---|---|
Former Name | SHELLEY L ROPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R866144) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA223001) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2022-02-15 |