NPI | 1255889358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN222354) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN222354) |
Enumeration Date | 2016-09-17 |
Last Update Date | 2019-06-24 |