NPI | 1194000885 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0835) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1892314) |
163W00000X Registered Nurse (Licence: AZ RN143162) | |
Enumeration Date | 2011-10-13 |
Last Update Date | 2018-12-05 |