NPI | 1104917491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 423503) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 423503-1) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2021-08-18 |