NPI | 1366987273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016509) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.019387) |
Enumeration Date | 2017-01-01 |
Last Update Date | 2021-09-21 |