NPI | 1255853560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024175110) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 112287) |
Enumeration Date | 2017-07-10 |
Last Update Date | 2017-08-09 |