NPI | 1528284080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 212548) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 053854) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2022-07-08 |