NPI | 1164960555 |
---|---|
Former Name | OLIVIA LEZANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019927) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174501) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2019-09-16 |