NPI | 1174508907 |
---|---|
Former Name | AMANDA L ALLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 726816) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 666335) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2024-06-17 |