NPI | 1558663674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 639539) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN181059) |
163W00000X Registered Nurse (Licence: NY 639539-1) | |
Enumeration Date | 2010-11-22 |
Last Update Date | 2014-08-01 |