NPI | 1396718599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30004485) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA00524) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2014-11-04 |