NPI | 1184619942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024102984) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001102984) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2019-01-07 |