NPI | 1629528757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 111895) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-175421-6) |
Enumeration Date | 2016-10-13 |
Last Update Date | 2016-10-13 |