NPI | 1093192080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000203) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22172) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |