NPI | 1669548244 |
---|---|
Former Name | MARTHA M CLEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3222) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174791) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2023-04-25 |