NPI | 1760589154 |
---|---|
Former Name | GWENDOLYN MARIE WOOLENSACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN571047) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA RN571047) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-04-05 |