NPI | 1366861668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 93288) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 73611) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-10-23 |