NPI | 1740360403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11036987) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN289082L) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2025-03-01 |