NPI | 1518338417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-127095) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-127095) |
Enumeration Date | 2015-10-18 |
Last Update Date | 2016-12-30 |