NPI | 1235179011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 1010026456) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 23771) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2018-05-07 |