NPI | 1699075549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA 0713) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN 148406) |
163W00000X Registered Nurse (Licence: CA RN 418428) | |
Enumeration Date | 2010-10-26 |
Last Update Date | 2021-08-31 |