NPI | 1598163958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3009216) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1120529) |
Enumeration Date | 2014-12-16 |
Last Update Date | 2015-02-12 |