NPI | 1811080971 |
---|---|
Former Name | REBECCA ANNE GROTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN289279L) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN365) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-10-04 |