NPI | 1306199542 |
---|---|
Other Name | SHIBAHN JOLENE STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3590) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA RN600681) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2024-08-28 |