NPI | 1316648025 |
---|---|
Former Name | SYBIL VASILY ISRAEL ROCA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4001202) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-08-04 |