NPI | 1295185445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 235140) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2308114) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2021-07-28 |