NPI | 1174571657 |
---|---|
Former Name | ROBYN PAIGE PENNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55542) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-87466-061) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2014-12-08 |