NPI | 1568460301 |
---|---|
Former Name | MARDI LYNN RUSHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3400272) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2012-11-08 |