NPI | 1528259389 |
---|---|
Former Name | KATHLEEN ANN O'SULLIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.006687) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |