NPI | 1790081867 |
---|---|
Former Name | DIANE MARIE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 042592-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 042592-23) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2017-01-03 |