NPI | 1265779995 |
---|---|
Former Name | CASSIE MATTES SKLUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024170620) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001222095) |
Enumeration Date | 2013-01-15 |
Last Update Date | 2023-02-09 |