NPI | 1285179309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 112660) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN573653) |
Enumeration Date | 2016-12-28 |
Last Update Date | 2021-11-19 |