NPI | 1396787131 |
---|---|
Former Name | LAJUAN CARRIE JO THORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-054750) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2015-07-06 |