NPI | 1962706895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11024415) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 167463-9) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2025-07-15 |