NPI | 1295007136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 247479) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN216234) |
374U00000X Home Health Aide | |
Enumeration Date | 2012-02-08 |
Last Update Date | 2021-01-26 |