NPI | 1619291358 |
---|---|
Former Name | ANDREA LILLIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28202194A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 088212) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2023-01-04 |