NPI | 1801869920 |
---|---|
Former Name | LAURIE RUTH WOODALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN201216) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-043957) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9189039) | |
Enumeration Date | 2006-02-09 |
Last Update Date | 2014-08-18 |