NPI | 1083093058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003089) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R086327) |
Enumeration Date | 2015-05-23 |
Last Update Date | 2020-12-28 |