NPI | 1619177417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN060776 AP03891) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN060776 AP03891) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2007-07-19 |