NPI | 1366963977 |
---|---|
Former Name | SARAH GWEN CALLISTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2362535) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1413) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2022-07-11 |