NPI | 1952383556 |
---|---|
Former Name | AMY BOOZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114184) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 73499) |
Enumeration Date | 2005-11-18 |
Last Update Date | 2020-06-11 |