NPI | 1952355570 |
---|---|
Former Name | LYNN ANN DIERKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004902,RN0013782) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2010-05-05 |