NPI | 1265990303 |
---|---|
Former Name | AMANDA J GUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101534) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 77853) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-05-21 |