NPI | 1134612617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R176157) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r176157) |
Enumeration Date | 2018-06-11 |
Last Update Date | 2020-05-26 |