NPI | 1538496237 |
---|---|
Former Name | ROSEANNE FOGARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN 9367343) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 6319A) |
Enumeration Date | 2009-11-17 |
Last Update Date | 2014-07-21 |