NPI | 1174596464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 040219) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN55870) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2011-11-01 |