NPI | 1437124898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 101-0016997) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME R028380) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2007-07-08 |