| NPI | 1740761634 |
|---|---|
| Former Name | LARA BACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1114007) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177780) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 685792) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2026-09-25 |