NPI | 1093886137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R23794) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1132) |
Enumeration Date | 2006-11-12 |
Last Update Date | 2020-12-08 |