NPI | 1497273122 |
---|---|
Former Name | AMANDA MARIE EGGERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R229614) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN647571) |
Enumeration Date | 2017-09-01 |
Last Update Date | 2022-09-14 |