| NPI | 1477941961 |
|---|---|
| Former Name | LACI LEA SEVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1718) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 189556) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2025-02-07 |