NPI | 1003054586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3758) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 289363) |
Enumeration Date | 2009-01-22 |
Last Update Date | 2024-04-29 |