NPI | 1255577516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 723) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 723) |
Enumeration Date | 2008-12-16 |
Last Update Date | 2008-12-16 |