NPI | 1639351737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9490618) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 6815) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 6815) | |
Enumeration Date | 2007-11-29 |
Last Update Date | 2019-12-20 |