NPI | 1205863487 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26426) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209004883) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704239360) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-11-28 |