NPI | 1700260569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R201347-7) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1799) |
Enumeration Date | 2015-07-11 |
Last Update Date | 2015-10-07 |