NPI | 1932177672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0776) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1894) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2015-06-17 |