NPI | 1518070598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704140017) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 4178A) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2013-12-02 |