NPI | 1740561398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4128) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 697899) |
Enumeration Date | 2011-09-08 |
Last Update Date | 2016-10-24 |