NPI | 1548937840 |
---|---|
Former Name | LYNETTE HOCKENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704317130) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 251488) |
Enumeration Date | 2021-08-24 |
Last Update Date | 2024-01-05 |