NPI | 1831190073 |
---|---|
Former Name | SARA L GRZESKOWIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP139239) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 094025) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2019-10-29 |