NPI | 1912003609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN2170552) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 049450-23-11) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2022-03-09 |