NPI | 1477920650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000642) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 103523) |
Enumeration Date | 2015-08-24 |
Last Update Date | 2022-07-21 |