NPI | 1144581380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 90093) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R870831) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17012) | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2019-03-18 |