NPI | 1689956195 |
---|---|
Former Name | JULIE KASALLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000114) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 669720) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2018-11-12 |