NPI | 1376784207 |
---|---|
Former Name | DACHELLE A CHAMBERLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0015024-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2005019802) |
Enumeration Date | 2009-03-24 |
Last Update Date | 2014-01-10 |