NPI | 1558796342 |
---|---|
Former Name | SARAH M WELLIKOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 22359) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008276) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2017-04-21 |