NPI | 1851600589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD CR000805) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000020357) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MN 85072) | |
Enumeration Date | 2010-09-29 |
Last Update Date | 2015-09-16 |