NPI | 1710029053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 203801) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 203801) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2016-04-07 |