NPI | 1114321429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN256646) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN256646) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2018-12-12 |