NPI | 1306199823 |
---|---|
Former Name | MOLLY ANN GOGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557395) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2013000716) |
Enumeration Date | 2012-10-22 |
Last Update Date | 2023-05-10 |