NPI | 1194073650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN16963) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN161224) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2012-11-01 |