NPI | 1114370210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 11176) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R189625-5) |
Enumeration Date | 2016-07-13 |
Last Update Date | 2023-03-23 |