NPI | 1427475102 |
---|---|
Former Name | CANDACE F GULLUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 24895) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 199699) |
163W00000X Registered Nurse (Licence: AL 1-123167) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18896) | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2022-01-13 |