NPI | 1316452162 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1496) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76944) |
Enumeration Date | 2017-12-01 |
Last Update Date | 2020-09-22 |