NPI | 1801373923 |
---|---|
Former Name | ALEXIS MIANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 8953) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MA RN2321940) |
Enumeration Date | 2018-07-21 |
Last Update Date | 2021-06-03 |