NPI | 1003487984 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN775260) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R232081) |
Enumeration Date | 2021-07-01 |
Last Update Date | 2023-08-09 |