NPI | 1821284746 |
---|---|
Former Name | LARA ELIZABETH THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1580998) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2018-04-06 |