NPI | 1659695724 |
---|---|
Former Name | GINA MARIE STROUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 084975) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 195608) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2012-06-20 |