| NPI | 1134483829 |
|---|---|
| Former Name | ANDREA LYNN EASLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4286) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 777858) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-05-09 |