NPI | 1083046734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN17904) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN179497) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2013-09-23 |