NPI | 1336896554 |
---|---|
Former Name | HEATHER MARI LAUTERBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1073154) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 136090) |
Enumeration Date | 2022-03-08 |
Last Update Date | 2024-12-05 |