| NPI | 1376639914 |
|---|---|
| Former Name | AMY LEE REARDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D104315) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 176714) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-07-30 |