NPI | 1114069473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 223366) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 223366) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2014-05-20 |