NPI | 1346488483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 87038) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 202826) |
363L00000X Nurse Practitioner (Licence: FL CRNA9250685) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18980) | |
Enumeration Date | 2009-01-28 |
Last Update Date | 2023-05-19 |