NPI | 1710264478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17689) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 78227) |
Enumeration Date | 2011-11-09 |
Last Update Date | 2012-06-01 |