NPI | 1932634938 |
---|---|
Former Name | LARISSA J YANNACCONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 12797278-8901) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134258) |
Enumeration Date | 2017-04-27 |
Last Update Date | 2022-09-20 |