NPI | 1447292032 |
---|---|
Former Name | SUSAN ELIZABETH HOLLICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN336465L) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000011907) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2022-01-07 |