NPI | 1053559351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4482) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 43313) |
Enumeration Date | 2009-01-26 |
Last Update Date | 2021-06-17 |