NPI | 1851396568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3001944) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1056347) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2015-11-30 |