NPI | 1417199209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 005191) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430437) |
Enumeration Date | 2009-03-25 |
Last Update Date | 2012-10-19 |