NPI | 1366773350 |
---|---|
Former Name | ANGELA CONKLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28148386A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 687771) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2023-02-11 |