NPI | 1619308046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3008475) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 093589) |
Enumeration Date | 2013-12-11 |
Last Update Date | 2023-06-01 |