NPI | 1104295989 |
---|---|
Former Name | LAURYN DUNHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704368744) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201506200RN) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201800003CRNA-PP) | |
Enumeration Date | 2015-09-22 |
Last Update Date | 2022-01-13 |