NPI | 1437696705 |
---|---|
Former Name | MAURA EILEEN DOBROVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1070793) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 019655) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2022-05-25 |