NPI | 1033265954 |
---|---|
Former Name | VALERIE LYNN LAUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55567) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2007001273) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-10-15 |