NPI | 1659357044 |
---|---|
Former Name | LITHENA L SKDRLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2007028642) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 100938) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2019-12-14 |