| NPI | 1326417155 |
|---|---|
| Former Name | LATICIA ANN CHRISTENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 177315-8) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |