NPI | 1326074451 |
---|---|
Former Name | LISA CRAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019039802) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0067539) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KS 4355623) | |
Enumeration Date | 2006-06-23 |
Last Update Date | 2022-11-02 |