NPI | 1528411105 |
---|---|
Former Name | ELISE ANN WELKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN CRNA 1960) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R185617-2) |
Enumeration Date | 2016-07-19 |
Last Update Date | 2021-05-27 |