NPI | 1083637813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-048598) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-048598) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2010-11-04 |