NPI | 1578015269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9453318) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000200179) |
163W00000X Registered Nurse (Licence: GA RN212795) | |
Enumeration Date | 2016-10-27 |
Last Update Date | 2018-02-23 |