NPI | 1356358469 |
---|---|
Former Name | VICTORIA ANN BOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 000417) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E47444) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MA 244551) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2009-10-24 |