NPI | 1144302746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 44332) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 38023) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-11-13 |