NPI | 1740258847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: UT 12241121-4406) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 56233) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2021-12-03 |