NPI | 1174665566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3466) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 187276) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2025-01-07 |