NPI | 1265943815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3012494) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9384070) |
Enumeration Date | 2017-10-22 |
Last Update Date | 2018-08-10 |