NPI | 1699794032 |
---|---|
Former Name | REGINA M LUKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.08749-NA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN-274405) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2012-01-09 |