NPI | 1750778221 |
---|---|
Former Name | LYDIA WUNSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 699344) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 257519) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2018-03-17 |