NPI | 1104884527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN189623) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RNA30263) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2023-06-20 |