NPI | 1073510590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA233029) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9307665) |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN314126L) | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2023-09-28 |