NPI | 1780345967 |
---|---|
Former Name | MADELINE SMITHGALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA243089) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN707773) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2025-01-20 |