NPI | 1912498213 |
---|---|
Former Name | LINDSEY EDITH MICA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 184204) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024177351) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2023-05-17 |