NPI | 1548365984 |
---|---|
Former Name | PAMELA MARIE BOULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 034214-23) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN 3035) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2025-01-30 |