NPI | 1053646299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN596454) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ RN596454) |
Enumeration Date | 2009-10-06 |
Last Update Date | 2019-11-14 |