NPI | 1912369653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN616186) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN616186) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2018-04-17 |