NPI | 1417254509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 87149) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 101516) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2022-08-19 |