NPI | 1417002478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 39314) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 148726) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2014-12-30 |