NPI | 1174069637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201906836CRNA-PP) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 794226) |
367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60737506) | |
Enumeration Date | 2017-01-09 |
Last Update Date | 2019-10-18 |