NPI | 1134434962 |
---|---|
Former Name | JENELLE LYNN BIGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704243706) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704243706) |
Enumeration Date | 2010-08-17 |
Last Update Date | 2011-06-29 |