NPI | 1184031288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 254534) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA RN598141) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0106204) | |
Enumeration Date | 2014-07-21 |
Last Update Date | 2021-09-21 |