NPI | 1376715946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0992365) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP 9246551) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209011396) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011396) | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2021-04-14 |