NPI | 1760439079 |
---|---|
Former Name | LISA MARIE SMALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007322) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006523) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2022-12-28 |