NPI | 1457468563 |
---|---|
Doing Business As | |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 80367-030) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704161006) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2007-07-08 |