NPI | 1053650556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN554954) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4372) |
Enumeration Date | 2013-02-05 |
Last Update Date | 2022-10-31 |