NPI | 1033726773 |
---|---|
Former Name | SANDRA RAKOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11011402) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9408816) |
Enumeration Date | 2020-09-27 |
Last Update Date | 2025-02-03 |