| NPI | 1740818442 |
|---|---|
| Former Name | DIAMOND NICOLE RUDDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11019593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9405169) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2024-03-26 |