NPI | 1881032167 |
---|---|
Former Name | HEATHER RENE HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22409) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9300686) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2019-01-23 |