NPI | 1598030355 |
---|---|
Former Name | PAULINE DOMINIQUE M CHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704233043) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2012-03-13 |