NPI | 1043631245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 27809) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9246192) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9246192) | |
Enumeration Date | 2013-12-16 |
Last Update Date | 2024-02-01 |