NPI | 1801217658 |
---|---|
Former Name | MAGEN LEA KACIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124993) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 770507) |
163W00000X Registered Nurse (Licence: TX 770507) | |
Enumeration Date | 2013-12-20 |
Last Update Date | 2016-03-25 |