NPI | 1326125675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 075083) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21028) |
163W00000X Registered Nurse (Licence: NC 212696) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-07-07 |