NPI | 1184955148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 536719) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124791) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2015-04-08 |