NPI | 1154303972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3350) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 115460) |
Enumeration Date | 2005-11-17 |
Last Update Date | 2012-10-25 |