NPI | 1891736518 |
---|---|
Former Name | SUSAN COUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000752) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041263936) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11029190) | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2024-01-10 |