| NPI | 1669010518 |
|---|---|
| Professional Name | FAMINDA T LAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024178894) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001269149) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-03-12 |