NPI | 1639112188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN158265) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R860829) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2008-06-12 |