NPI | 1508815044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1188) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2004031863) |
367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55492) | |
Enumeration Date | 2006-05-10 |
Last Update Date | 2016-11-16 |