NPI | 1598926214 |
---|---|
Former Name | LAURA J MAMCHUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA83441) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO SRA-100001) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CO 125032) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2015-01-30 |