NPI | 1023101227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 14408) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN167645) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2010-07-21 |