NPI | 1063581130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0482) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704204596) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP145483) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2023-05-15 |