NPI | 1003353129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1513) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011070) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2018-05-23 |