NPI | 1639566862 |
---|---|
Former Name | RENAL R. NALLATAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011573) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.013201) |
Enumeration Date | 2015-04-26 |
Last Update Date | 2020-12-09 |