NPI | 1073787990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0571) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 146676-6) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2020-10-01 |