NPI | 1891739389 |
---|---|
Former Name | PEGGY MARIE COOGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1289) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC R27499) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2022-01-28 |