NPI | 1013587039 |
---|---|
Former Name | MARIAH R HUSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557997-092) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 81967) |
Enumeration Date | 2021-06-30 |
Last Update Date | 2022-08-05 |