NPI | 1366472953 |
---|---|
Former Name | ODILE J ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN642513) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 546249) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2019-12-02 |