NPI | 1790798825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 11004) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18168) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-07-08 |