NPI | 1851570063 |
---|---|
Former Name | JOANNE SUMRALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 130830-3) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2018-04-11 |