NPI | 1811040157 |
---|---|
Former Name | EMMYLOU E. ENRIQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704195685) |
Enumeration Date | 2007-01-19 |
Last Update Date | 2012-03-20 |