NPI | 1063888378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20936) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000177206) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024172961) | |
Enumeration Date | 2015-08-20 |
Last Update Date | 2018-07-10 |