NPI | 1255315370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP618852) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 274573) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2007-12-14 |