NPI | 1720135833 |
---|---|
Former Name | LISA ANN EHRHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000389) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 091017) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041295720) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2022-11-15 |