| NPI | 1740425701 |
|---|---|
| Other Name | SOU BOUNMYTHAVONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209008677) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28181986A) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2023-08-30 |