NPI | 1316351273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN739300) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43-557257-031) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2014020774) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2021-12-14 |