NPI | 1972817682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 085436) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN556487) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2013-03-25 |