NPI | 1225372733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NV 819264) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 104798) |
163W00000X Registered Nurse (Licence: SC 104798) | |
Enumeration Date | 2012-11-21 |
Last Update Date | 2021-05-18 |