NPI | 1043298631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP03850) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1107012) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2008-01-03 |