NPI | 1306145628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R30428) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F10231075) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1484) | |
Enumeration Date | 2011-03-25 |
Last Update Date | 2023-12-28 |