NPI | 1205103512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 810640) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17714) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2022-01-06 |