NPI | 1689094401 |
---|---|
Former Name | MELISSA KINDLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2014020765) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005000117) |
Enumeration Date | 2014-04-19 |
Last Update Date | 2020-12-02 |