NPI | 1215278387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA153019) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 091246) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2021-08-11 |