NPI | 1821235375 |
---|---|
Former Name | YVETTE MARIE GOULARTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3776) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 623186 RN) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2022-06-16 |