NPI | 1528378486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4017) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 164762-30) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN 149475-4) | |
Enumeration Date | 2010-10-13 |
Last Update Date | 2021-05-13 |