NPI | 1881046134 |
---|---|
Former Name | KAREN MINTLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000576) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CA 812381) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2022-04-26 |