NPI | 1174799613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-076185) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-076185) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2008-05-12 |