NPI | 1629156575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN307819) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN213820L) |
163W00000X Registered Nurse (Licence: NC 125378) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024167114) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-02-10 |