NPI | 1275948556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 137477) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-12-16 |