NPI | 1164800413 |
---|---|
Former Name | LORI JEAN PHARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP08348) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN103306) |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 103306) | |
Enumeration Date | 2015-05-07 |
Last Update Date | 2024-09-25 |