NPI | 1407015779 |
---|---|
Former Name | MARY KATHLEEN HAFFARNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101048) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 67180) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024168018) | |
Enumeration Date | 2008-06-03 |
Last Update Date | 2023-02-23 |