NPI | 1346293123 |
---|---|
Former Name | LESSLEY DALE BALDWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04049) |
Additional Taxonomies | 174400000X Specialist (Licence: LA RN081126) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2011-04-04 |