NPI | 1043441652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15607) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA183034) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AR RN157932) | |
Enumeration Date | 2009-07-30 |
Last Update Date | 2022-10-07 |