NPI | 1417201880 |
---|---|
Former Name | ANDREA RENEE O'CONNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123140) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 797335) |
163W00000X Registered Nurse (Licence: MI 4704253105) | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2024-07-30 |