NPI | 1790883775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 71757) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 56168) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2023-12-07 |