NPI | 1457449001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3004808) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1097124) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2012-09-17 |