NPI | 1063912053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 121842) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN209117) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2018-12-04 |