NPI | 1598223422 |
---|---|
Former Name | AMANDA BETH HAUSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2289940) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN02869) |
Enumeration Date | 2019-03-11 |
Last Update Date | 2024-06-20 |