NPI | 1205498508 |
---|---|
Former Name | TAYLOR NICOLE JACOPIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 127429) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ID 49303) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2022-11-18 |