NPI | 1841246360 |
---|---|
Former Name | CLARA LOUISE THORSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 442484) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N29356) |
367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA455A) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2019-07-29 |