NPI | 1740218791 |
---|---|
Former Name | LISA M RIEDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0134240) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704205789) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN-324508) | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2022-10-13 |