NPI | 1306087242 |
---|---|
Former Name | DENISE M MONDRAGON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209013439) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 153618) |
163W00000X Registered Nurse (Licence: NY 6291572) | |
163W00000X Registered Nurse (Licence: WA 176820) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 6026-33) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 219409-30) | |
Enumeration Date | 2009-03-23 |
Last Update Date | 2017-10-19 |