NPI | 1053855957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PR 32023) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9312324) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |