NPI | 1023407335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R175780) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE 104871) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-06-22 |