NPI | 1518334598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20735) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 647400) |
Enumeration Date | 2015-08-26 |
Last Update Date | 2017-04-17 |