NPI | 1710211065 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 19238) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 082311) |
Enumeration Date | 2009-09-18 |
Last Update Date | 2022-01-20 |