NPI | 1063784783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 89570) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 044944-23) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2020-10-27 |