NPI | 1578894036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 049604-23) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN259350) |
367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA2103028) | |
Enumeration Date | 2010-01-23 |
Last Update Date | 2021-04-22 |