NPI | 1386028470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1788) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 702453) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2021-06-22 |