NPI | 1508280082 |
---|---|
Former Name | AMANDA LYNN ISBRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN612512) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2015-10-28 |