NPI | 1578712113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 5569) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 80088) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2020-10-01 |