| NPI | 1922234137 |
|---|---|
| Former Name | LISA M SLAVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 556899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1396137051) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 139567) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-11-05 |