NPI | 1053709154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19772) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 105135) |
Enumeration Date | 2014-12-26 |
Last Update Date | 2015-11-11 |