NPI | 1386973741 |
---|---|
Former Name | HEATHER MARIE CHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00787) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R177819) |
Enumeration Date | 2009-12-15 |
Last Update Date | 2024-10-07 |