NPI | 1336671072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 118467) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN670022) |
163W00000X Registered Nurse (Licence: NY 588628) | |
163W00000X Registered Nurse (Licence: NJ 26NR18016600) | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2020-06-22 |