| NPI | 1952649568 |
|---|---|
| Former Name | THERESA MARIE NIEDERMAIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101478) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9234485) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2018-10-28 |