NPI | 1669464483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 526963) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-001297) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL 3220652) | |
Enumeration Date | 2005-08-18 |
Last Update Date | 2008-10-23 |