NPI | 1366834301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 912961) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.338052-COA1) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2017-03-01 |