NPI | 1285103705 |
---|---|
Former Name | LAURA ELIZABETH MYNATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25990) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 198772) |
Enumeration Date | 2018-11-14 |
Last Update Date | 2019-06-25 |