NPI | 1730165382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54584) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 115679) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2020-12-02 |