NPI | 1215577309 |
---|---|
Former Name | LAURA TODD ANTALEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11005625) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9298151) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OR 10022950) | |
Enumeration Date | 2020-01-07 |
Last Update Date | 2024-12-06 |