NPI | 1275901738 |
---|---|
Former Name | DANA MICHELLE WOLAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60824100) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60454845) |
163W00000X Registered Nurse (Licence: OR 201503625RN) | |
Enumeration Date | 2015-09-14 |
Last Update Date | 2018-08-16 |