NPI | 1982987616 |
---|---|
Former Name | ANDREA LAURA MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172892) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2016-04-05 |