NPI | 1922192830 |
---|---|
Former Name | ANNA V PETRENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00244600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO12079900) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-06-21 |