NPI | 1285134528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 22178) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN228243) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2018-12-21 |