NPI | 1922300482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2276399) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 135388) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2020-02-24 |