NPI | 1548668015 |
---|---|
Former Name | AMANDA BETH CROLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-108702) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2015-10-14 |