NPI | 1255725719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1350) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN163219) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2019-05-29 |