NPI | 1699753277 |
---|---|
Former Name | MARY KATHERINE HANNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 663246) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2011-03-03 |