NPI | 1205139102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 4437) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 085788) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2022-02-09 |