NPI | 1316030273 |
---|---|
Former Name | AMANDA NICOLE LOVELADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 75119) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |