NPI | 1366883175 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 123988) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 109026) |
Enumeration Date | 2013-07-09 |
Last Update Date | 2015-04-23 |