NPI | 1295701886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN507636L) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 51807) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2020-10-07 |