NPI | 1831618982 |
---|---|
Former Name | ANNIE MUCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001158) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R20857-0) |
Enumeration Date | 2017-09-10 |
Last Update Date | 2023-11-27 |