NPI | 1215141734 |
---|---|
Former Name | AMANDA J. WEBSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-006637) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2017-03-01 |