NPI | 1477532331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 107070-9) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 635757) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2018-04-13 |