NPI | 1023252236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 67208) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA-10388) |
Enumeration Date | 2009-05-01 |
Last Update Date | 2021-03-09 |