NPI | 1346738176 |
---|---|
Former Name | CELESTE ELAINE MOOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0001058-C-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143913) |
Enumeration Date | 2018-04-26 |
Last Update Date | 2022-06-01 |