NPI | 1306247192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1127) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 666851-1) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 666851-1) | |
Enumeration Date | 2014-09-11 |
Last Update Date | 2020-10-02 |