NPI | 1558303297 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00168011) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 700259) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OR 095006239RN) | |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-12-11 |