NPI | 1619292257 |
---|---|
Former Name | SUSAN ELAINE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024171608) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 51076) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CO CRA15069) | |
Enumeration Date | 2010-04-06 |
Last Update Date | 2014-09-16 |