NPI | 1003166786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN539343) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630176-1) |
163W00000X Registered Nurse (Licence: PA RN539343) | |
Enumeration Date | 2012-09-11 |
Last Update Date | 2022-07-21 |