NPI | 1780646356 |
---|---|
Former Name | SANDRA LYNN PERSINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24723) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 082454-23) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9163433) | |
Enumeration Date | 2006-04-06 |
Last Update Date | 2021-07-23 |