NPI | 1265406698 |
---|---|
Former Name | SHAUNA JACOBSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD 0581) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D099344) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2025-07-02 |