NPI | 1356640080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 199121) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: SC 207870) |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 087144) | |
Enumeration Date | 2011-03-21 |
Last Update Date | 2020-10-28 |