NPI | 1710375647 |
---|---|
Former Name | NORA LILLIAN REIMBOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0991628) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0199227) |
Enumeration Date | 2014-12-30 |
Last Update Date | 2021-03-17 |