NPI | 1639617152 |
---|---|
Former Name | AMY LYNN HENDRIKSMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704239300) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2024-11-20 |