NPI | 1104852508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1615992) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV CRNA000242) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2017-02-08 |