NPI | 1396237608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA 60894969) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 243392) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-10-04 |