NPI | 1114436656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN563286) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00759600) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30962) | |
Enumeration Date | 2017-09-27 |
Last Update Date | 2024-02-13 |