NPI | 1255675013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 18146) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 103840) |
Enumeration Date | 2012-11-18 |
Last Update Date | 2022-08-02 |