NPI | 1609961465 |
---|---|
Former Name | SUSAN DENISE COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024182546) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041391227) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008708) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-11-11 |