NPI | 1164838991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 101023) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9325556) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2020-07-27 |