| NPI | 1659642783 |
|---|---|
| Former Name | FEBRIANTY P PANJAITAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 679974) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2016-12-07 |