NPI | 1427281401 |
---|---|
Former Name | HEIDI MARIE RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D153765) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111068) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101495) | |
Enumeration Date | 2009-08-25 |
Last Update Date | 2019-12-19 |