NPI | 1174639884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200360034CRNA) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 98000468RN) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2007-07-18 |