NPI | 1750368718 |
---|---|
Former Name | SUSANA BEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV CRNA000363) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 609788) |
367500000X Nurse Anesthetist, Certified Registered (Licence: UT 10652098-8901) | |
Enumeration Date | 2005-12-29 |
Last Update Date | 2018-08-31 |