NPI | 1629077516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 193337) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 036755-21) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2014-06-25 |