NPI | 1194199935 |
---|---|
Former Name | AMY ELIZABETH HOVINGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704253793) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704253793) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2016-04-11 |