| NPI | 1215372446 |
|---|---|
| Former Name | TISHA HOOGENDOORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1385318) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 147516) | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-01-08 |