NPI | 1710961016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS 901632) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP01399) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2020-08-14 |