NPI | 1265624456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0544) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN113116) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0991990-CRNA) | |
Enumeration Date | 2007-08-13 |
Last Update Date | 2021-09-30 |