| NPI | 1891427118 |
|---|---|
| Former Name | LAURYN GRACE RUCKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN770389) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-10-18 |