NPI | 1629383245 |
---|---|
Former Name | CARISSA ANN DALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 108117) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 60684) |
Enumeration Date | 2010-08-09 |
Last Update Date | 2011-12-12 |