NPI | 1306453345 |
---|---|
Former Name | ERIN BOMAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 29694) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 208123) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-09-24 |
Last Update Date | 2024-10-17 |