NPI | 1275224123 |
---|---|
Former Name | DENA ELAINE OVERMILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD RN730590) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN730590) |
Enumeration Date | 2023-05-19 |
Last Update Date | 2023-09-16 |