NPI | 1073284816 |
---|---|
Former Name | CHRISTINE BALDERAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024288) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041404440) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2023-11-15 |