NPI | 1962854059 |
---|---|
Professional Name | JENNIFER TAGORDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000579) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 521573) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 649134) | |
Enumeration Date | 2016-07-12 |
Last Update Date | 2021-12-04 |