NPI | 1194092726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1112631) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28248130A) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2019-01-14 |