NPI | 1396926960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 0074241) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: CT E60610) |
Enumeration Date | 2007-11-23 |
Last Update Date | 2012-05-01 |