NPI | 1598189110 |
---|---|
Former Name | MARY WENDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011287) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041362764) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2024-06-26 |