NPI | 1447710496 |
---|---|
Former Name | RUTH ANN DUBBELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6462) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 280387) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 128314) | |
Enumeration Date | 2019-03-24 |
Last Update Date | 2020-09-22 |