NPI | 1619489804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001398) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9433696) |
Enumeration Date | 2017-10-29 |
Last Update Date | 2020-10-14 |