NPI | 1508001389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 118369) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 5842A) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 15252) | |
Enumeration Date | 2008-12-09 |
Last Update Date | 2011-01-24 |