NPI | 1013312073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 7259363-4406) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242210) |
163W00000X Registered Nurse (Licence: DC RN1026628) | |
Enumeration Date | 2014-11-01 |
Last Update Date | 2018-10-03 |