NPI | 1164447686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 400637) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 400637-1) |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN357926L) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2019-11-08 |