NPI | 1376699520 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 003602) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1162086) |
Enumeration Date | 2007-01-27 |
Last Update Date | 2020-11-17 |