NPI | 1225660632 |
---|---|
Former Name | AMBER LEE MADRID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 787337) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK 31519) |
Enumeration Date | 2020-02-04 |
Last Update Date | 2021-07-08 |