| NPI | 1699779546 |
|---|---|
| Former Name | SUE ANN ROETUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D090526) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209005003) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2023-11-27 |