NPI | 1730409145 |
---|---|
Former Name | THERESA LUNSFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 4264) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN625420) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024178595) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4264) | |
Enumeration Date | 2010-06-08 |
Last Update Date | 2025-04-23 |