NPI | 1043245194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 7636) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 601132) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3740) | |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-10-12 |