NPI | 1366110678 |
---|---|
Former Name | SHELBY LOUISE JANESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 36444) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 1-167128) |
Enumeration Date | 2021-09-01 |
Last Update Date | 2024-06-21 |