| NPI | 1104121060 |
|---|---|
| Former Name | CATHERINE MANGASI NEDEDOG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 81138) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2020-05-11 |