NPI | 1124490594 |
---|---|
Former Name | NICOLE L SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209013912) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.435683) |
Enumeration Date | 2015-10-26 |
Last Update Date | 2019-03-28 |