| NPI | 1194910042 |
|---|---|
| Former Name | JANELL DIANNE WALDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 093508) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO SRA 100003) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2019-07-11 |