NPI | 1902227739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-111760) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 18330) |
Enumeration Date | 2013-12-20 |
Last Update Date | 2016-03-17 |