NPI | 1235483769 |
---|---|
Former Name | JANELLE MARIE JERABEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ND R31606) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA123049) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2013-03-28 |