NPI | 1902848161 |
---|---|
Former Name | LAURIE E LEGENZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO NA119725) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54244) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2015-01-12 |