NPI | 1316332786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009380) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1141093) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2294) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2020-06-24 |