NPI | 1730635889 |
---|---|
Former Name | LINDSAY ANN BUSSARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 0994438) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201603098RN) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2019-02-21 |