NPI | 1649864497 |
---|---|
Former Name | LAUREL ANN ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 259881) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN147283) |
Enumeration Date | 2021-02-23 |
Last Update Date | 2024-02-09 |