NPI | 1104861889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024188732) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 167469) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2023-11-29 |