NPI | 1770827867 |
---|---|
Former Name | DANA NICHOLE RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 175063) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 175063) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MS 90893) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2023-10-17 |