NPI | 1487991725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2283102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-077751) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-077751) | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2018-12-24 |