NPI | 1508474651 |
---|---|
Former Name | JULIANNE CAROL MCGOWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2293324) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2293324) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MA Pending) | |
Enumeration Date | 2020-07-15 |
Last Update Date | 2021-08-25 |