NPI | 1609184043 |
---|---|
Former Name | AMANDA JEAN HORNUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R30715) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R176928-5) |
Enumeration Date | 2010-09-20 |
Last Update Date | 2012-04-20 |