NPI | 1104497577 |
---|---|
Former Name | JACLYN SPINELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 308845) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 197048) |
Enumeration Date | 2021-07-07 |
Last Update Date | 2024-08-20 |