NPI | 1114266160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN202447) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN202447) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2024-11-21 |