NPI | 1548808827 |
---|---|
Former Name | SARAH FAITH DESLATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001538) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN290166) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2023-04-14 |