NPI | 1508868126 |
---|---|
Former Name | BRITTANY LYNNE VANDENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9226034) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-107535) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2013-06-27 |