NPI | 1851988596 |
---|---|
Former Name | LESLEY ERIN BRAENNSTROEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-167609) |
Enumeration Date | 2020-12-29 |
Last Update Date | 2020-12-29 |