NPI | 1104889427 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1100968) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 050687) |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC R57654) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: ME R044418) | |
Enumeration Date | 2006-04-08 |
Last Update Date | 2009-06-30 |