NPI | 1144640566 |
---|---|
Former Name | AMBER STATEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9279560) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9279560) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN276210) | |
Enumeration Date | 2014-04-24 |
Last Update Date | 2024-03-05 |