NPI | 1205932308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 108387) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-54461-011) |
Enumeration Date | 2006-09-15 |
Last Update Date | 2025-01-02 |