| 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 |