NPI | 1558786673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901559) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN257526) |
367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07626) | |
Enumeration Date | 2014-02-26 |
Last Update Date | 2019-11-21 |