NPI | 1639182777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 20336) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 049352) |
163W00000X Registered Nurse (Licence: NC 119281) | |
Enumeration Date | 2006-08-13 |
Last Update Date | 2022-07-25 |