NPI | 1346653938 |
---|---|
Former Name | MADELINE O'DONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 770598) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX CRNA102349) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP125812) | |
163W00000X Registered Nurse (Licence: TX RN770598) | |
Enumeration Date | 2014-06-11 |
Last Update Date | 2018-10-03 |