NPI | 1891128534 |
---|---|
Former Name | LINDA JEAN MAYEDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201600522CRNA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201341115RN) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2018-09-20 |