NPI | 1164723581 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 086672) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1093910) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2012-06-13 |