NPI | 1578663878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN- 3136) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1116566) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2022-01-21 |