NPI | 1740350313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 39094) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 32673) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2015-03-13 |