NPI | 1114592540 |
---|---|
Former Name | ERICA CHRISTINA BAZAN OSGOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1045207) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 849409) |
Enumeration Date | 2021-05-27 |
Last Update Date | 2025-03-17 |