NPI | 1952384836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 167337) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 036764-23-11) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2011-11-03 |