NPI | 1679834956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 387) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1705249) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NY 655587) | |
Enumeration Date | 2012-06-04 |
Last Update Date | 2019-06-26 |