NPI | 1053354894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5928) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001190034) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166140) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2021-04-28 |