NPI | 1316930977 |
---|---|
Former Name | LISA HUNTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.05567-NA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.239700-COA1) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2017-06-01 |