NPI | 1093147779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704249015) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.390825) |
Enumeration Date | 2013-08-05 |
Last Update Date | 2023-06-19 |