| NPI | 1518463025 |
|---|---|
| Former Name | MANDI A REZAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 71831) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-05-24 |