NPI | 1174523161 |
---|---|
Former Name | AMANDA LORAINE ROMERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 8307) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: TN 135693) |
363LA2100X Nurse Practitioner Acute Care (Licence: TN 8307) | |
Enumeration Date | 2005-07-31 |
Last Update Date | 2014-07-18 |