NPI | 1316301021 |
---|---|
Former Name | JAMIN LANDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557432) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KS 108432) |
Enumeration Date | 2016-04-08 |
Last Update Date | 2021-10-20 |