NPI | 1700349206 |
---|---|
Former Name | CARLEEN LANFEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 213898) |
Enumeration Date | 2019-04-11 |
Last Update Date | 2024-04-01 |