NPI | 1225418122 |
---|---|
Former Name | ZHANNA ULYANTSEV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2264237) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2264237) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2022-01-27 |