NPI | 1346992666 |
---|---|
Former Name | REBECCA POPECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R258931) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001288900) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024183517) | |
Enumeration Date | 2022-01-19 |
Last Update Date | 2024-01-18 |