NPI | 1073942058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704261603) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.397566) |
Enumeration Date | 2013-11-11 |
Last Update Date | 2014-07-18 |