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 |