NPI | 1679917975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101216) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 66011) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2015-04-24 |