NPI | 1023123361 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 128812) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9245661) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209025673) | |
Enumeration Date | 2006-08-19 |
Last Update Date | 2025-01-14 |