NPI | 1730830472 |
---|---|
Former Name | EMILY SAVANNAH MORDENTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 26504) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26504) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-11-28 |