NPI | 1316351919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901391) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60477472) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2020-11-27 |