NPI | 1245586866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3011226) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH 327901) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN222067) | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2022-02-18 |