NPI | 1154406445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 049452) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 3995) |
163W00000X Registered Nurse (Licence: NC 128180) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2024-10-11 |