NPI | 1831197680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2012020211) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 686439) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2015-03-31 |