| NPI | 1669743530 |
|---|---|
| Former Name | BLAIRE M WOUTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016933) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-117275) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0839) | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-06-07 |