NPI | 1699291484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000814) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95143008) |
163W00000X Registered Nurse (Licence: NY 670294) | |
Enumeration Date | 2017-08-14 |
Last Update Date | 2017-12-12 |