NPI | 1205275187 |
---|---|
Former Name | EANCIA C. MUNDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07535) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR18625900) |
Enumeration Date | 2013-06-24 |
Last Update Date | 2023-01-17 |