NPI | 1770889156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17493) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 59831) |
Enumeration Date | 2011-02-02 |
Last Update Date | 2021-12-29 |