NPI | 1619250974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17682) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 82064) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2012-06-01 |