NPI | 1003113507 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP06338) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 102458) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2025-01-02 |