NPI | 1417184268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 082609) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-564095) |
Enumeration Date | 2009-06-19 |
Last Update Date | 2013-03-25 |