NPI | 1336113083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1145112) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 268790) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2011-08-18 |