NPI | 1134603574 |
---|---|
Former Name | PANG Z THAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R203501-5) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11003059) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 790501) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 10967) | |
Enumeration Date | 2018-09-21 |
Last Update Date | 2024-01-25 |