NPI | 1477088201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 55952) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 40228) |
163W00000X Registered Nurse (Licence: KS 14-126679-032) | |
Enumeration Date | 2017-04-30 |
Last Update Date | 2017-10-04 |