NPI | 1417386251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000082) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 760435) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2015-06-03 |