NPI | 1003152166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9482434) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH COA.14214) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2020-10-13 |